Kathleen M Burnham, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Madison, Wisconsin. Her current practice location is
122 E Olin Ave, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 262-1111.
Kathleen M Burnham is licensed to practice in Wisconsin (license number 8925) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952852022.
Healthcare Provider's Profile
| Full Name | Kathleen M Burnham |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 122 E Olin Ave, Madison, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952852022
- Provider Enumeration Date: 10/24/2016
- Last Update Date: 01/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 2961931258
- Enrollment ID: I20250131001087
Medical Identifiers
Medical identifiers for Kathleen M Burnham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952852022 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 17705 (Wisconsin) | Secondary |
| 101YM0800X | Counselor - Mental Health | 130284 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8925 (Wisconsin) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathleen M Burnham allows following entities to bill medicare on her behalf.
| Entity Name | University Of Wisconsin Medical Foundation Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598784555
PECOS PAC ID: 6608785464
Enrollment ID: O20031111000435 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen M Burnham is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kathleen M Burnham, LCSW
7974 Uw Health Ct,
Middleton, WI 53562-5531
Ph: () - | Kathleen M Burnham, LCSW
122 E Olin Ave,
Madison, WI 53713-1487
Ph: (608) 262-1111 |
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